早期康复护理对脑出血吞咽障碍患者康复的应用效果观察(1)
摘 要：目的 研究早期康复护理对脑出血吞咽障碍患者的应用效果，对患者护理满意度进行分析。方法 选取2015年1月～2017年12月脑出血吞咽障碍患者86例为研究对象，按照国际通用随机字母表法分为实验组和对照组，各43例。对照组实施常规护理，实验组在常规护理的基础上实施早期康复护理。比较两组患者吞咽功能恢复情况及护理满意度。结果 两组干预后吞咽功能均有改善，实验组患者总有效率高于对照组，吞咽功能改善优于对照组，差异有统计学意义(P<0.05)；观察组护理满意度为97.67%，高于对照组的88.37%，差异有统计学意义(P<0.05)。结论 脑出血吞咽障碍患者早期康复护理可以有效的改善吞咽功能障碍，提升护理满意度，应用效果较好。
关键词：脑出血；吞咽障碍；早期康复护理；护理满意度
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.055
, http://www.100md.com
文章编号：1006-1959(2018)17-0173-03
Abstract：Objective To study the effect of early rehabilitation nursing on patients with cerebral hemorrhage and deglutition disorders， and to analyze the satisfaction of patients.Methods 86 patients with cerebral hemorrhage and deglutition disorders from January 2015 to December 2017 were enrolled in the study.According to the international common random alphabet method，they were divided into experimental group and control group，with 43 cases in each group.The control group was given routine care，and the experimental group performed early rehabilitation care on the basis of routine care.The swallowing function recovery and nursing satisfaction were compared between the two groups.Results The swallowing function was improved after intervention in both groups. The total effective rate of the experimental group was higher than that of the control group.The swallowing function was better than the control group，the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 97.67%，88.37% higher than the control group，the difference was statistically significant(P<0.05).Conclusion Early rehabilitation nursing for patients with deglutition disorders after cerebral hemorrhage can effectively improve the deglutition disorders，enhance the satisfaction of nursing， and the effect is better.
, 百拇医药
Key words：Cerebral hemorrhage；Deglutition disorders；Early rehabilitation nursing；Nursing satisfaction
吞咽障礙(deglutition disorders)是脑出血的常见并发症。有研究表明，脑出血后吞咽障碍的发病率为30%～65%，而脑出血后3 d内吞咽障碍的发生率为42%～67%[1]。吞咽障碍可引起脱水、营养不良、生活质量降低、吸入性肺炎、窒息甚至死亡等严重后果，是脑出血患者死亡的独立危险因素。临床实践显示，常规护理干预改善吞咽功能障碍效果不明显[2]。因此在积极实施常规护理的同时，早期全面有效地对患者进行康复护理，满足患者营养需求，增加机体抵抗力，对疾病的整体康复有重要意义。本研究分析了早期康复护理对脑出血吞咽障碍患者的应用效果及护理满意度，现报道如下。
1 资料与方法
1.1一般资料 选择南通大学附属医院2015年1月～2017年12月收治的脑出血吞咽障碍患者86例，本次研究经伦理会审核通过。纳入标准：①经头颅CT检查明确诊断为脑出血且合并吞咽障碍者；②意识清楚且生命体征平稳者；③保守治疗且在整个治疗过程中复查头颅CT显示出血量无增加者；④无合并严重心肝肾功能不全者。排除标准：①口腔疾病引起的吞咽障碍者；②有精神类疾病、依从性差无法完成本研究者；③拒绝签署知情同意书者。将所有患者按照国际通用随机字母表法分为实验组和对照组，各43例。实验组中男23例，女20例，年龄 41～82岁，平均年龄(56.65±2.63)岁，病程1～6个月，平均病程(2.89±1.27)个月。对照组中男25例，女18例，年龄43～84岁，平均年龄(56.68±2.65)岁，病程1～5个月，平均病程(2.88±1.13)个月。两组患者性别、年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，研究可进行。, 百拇医药(张旦旦)
关键词：脑出血；吞咽障碍；早期康复护理；护理满意度
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.055
, http://www.100md.com
文章编号：1006-1959(2018)17-0173-03
Abstract：Objective To study the effect of early rehabilitation nursing on patients with cerebral hemorrhage and deglutition disorders， and to analyze the satisfaction of patients.Methods 86 patients with cerebral hemorrhage and deglutition disorders from January 2015 to December 2017 were enrolled in the study.According to the international common random alphabet method，they were divided into experimental group and control group，with 43 cases in each group.The control group was given routine care，and the experimental group performed early rehabilitation care on the basis of routine care.The swallowing function recovery and nursing satisfaction were compared between the two groups.Results The swallowing function was improved after intervention in both groups. The total effective rate of the experimental group was higher than that of the control group.The swallowing function was better than the control group，the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 97.67%，88.37% higher than the control group，the difference was statistically significant(P<0.05).Conclusion Early rehabilitation nursing for patients with deglutition disorders after cerebral hemorrhage can effectively improve the deglutition disorders，enhance the satisfaction of nursing， and the effect is better.
, 百拇医药
Key words：Cerebral hemorrhage；Deglutition disorders；Early rehabilitation nursing；Nursing satisfaction
吞咽障礙(deglutition disorders)是脑出血的常见并发症。有研究表明，脑出血后吞咽障碍的发病率为30%～65%，而脑出血后3 d内吞咽障碍的发生率为42%～67%[1]。吞咽障碍可引起脱水、营养不良、生活质量降低、吸入性肺炎、窒息甚至死亡等严重后果，是脑出血患者死亡的独立危险因素。临床实践显示，常规护理干预改善吞咽功能障碍效果不明显[2]。因此在积极实施常规护理的同时，早期全面有效地对患者进行康复护理，满足患者营养需求，增加机体抵抗力，对疾病的整体康复有重要意义。本研究分析了早期康复护理对脑出血吞咽障碍患者的应用效果及护理满意度，现报道如下。
1 资料与方法
1.1一般资料 选择南通大学附属医院2015年1月～2017年12月收治的脑出血吞咽障碍患者86例，本次研究经伦理会审核通过。纳入标准：①经头颅CT检查明确诊断为脑出血且合并吞咽障碍者；②意识清楚且生命体征平稳者；③保守治疗且在整个治疗过程中复查头颅CT显示出血量无增加者；④无合并严重心肝肾功能不全者。排除标准：①口腔疾病引起的吞咽障碍者；②有精神类疾病、依从性差无法完成本研究者；③拒绝签署知情同意书者。将所有患者按照国际通用随机字母表法分为实验组和对照组，各43例。实验组中男23例，女20例，年龄 41～82岁，平均年龄(56.65±2.63)岁，病程1～6个月，平均病程(2.89±1.27)个月。对照组中男25例，女18例，年龄43～84岁，平均年龄(56.68±2.65)岁，病程1～5个月，平均病程(2.88±1.13)个月。两组患者性别、年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，研究可进行。, 百拇医药(张旦旦)